Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.84 / $1,824.56 / $18,711.00	Facility		$927.84	$1,824.56	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,554.52 / $9,172.83 / $20,286.13	Facility		$2,554.52	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.55 / $247.81 / $247.81	Facility	AS	$139.55	$247.81	$247.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $1,149.32 / $2,806.97	Facility		$615.70	$1,149.32	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $877.24 / $1,329.28 / $1,470.65	Facility		$877.24	$1,329.28	$1,470.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $951.75 / $986.25 / $2,961.46	Facility		$951.75	$986.25	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00